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FORWARD NON-HAZARDOUS WASTE MANIFEST FORWARD NON-HAZARDOUS WASTE MANIFEST WASTE TREATMENT AND DISPOSAL FACILITY 1,"+CORPORATEA 7NC0RP0RA7ED WASTE TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE N0. CMH' 4402 f� JOB ACCEPTANCE NO. r WDiEHAJOR z_.^ . _ REQUIRED PERSCNJAL PROTECINE EQUIPMENT tx ^ Jr ES r LrNCSTOF -� ❑GLOVES ❑GOGGLESORESPIRATOR E]HARD HAT _JAMES +� F STOFJ ❑GLOVES ❑GOGGLES❑RESPIRATOR ❑HARD HAT UlULJNGADDRESS _ a_ - _ _ »� ❑TYVEK [)OTHER MIAIIlrAD - ❑TYVEK ❑OTHER QTY:, r) ZIP o~�— -trx_ - _ SPECIAL HANDLING PROCEDURES P 0 BOX 97 r SPECIAHANDLING PROCEDURES _ ,. 2. c,.._ _ _ r • 'Trak- CA n5;^I _ • LATH40P CA 95390 J3iO1IE fes . _ ti _ _ _ A PHOT iE ' -sr 2I'4- 67= 'r1 209-357-5961 COMDIGT PFJRSOFI `�-�� - -- r CONa4G'T PERSt:N�]- •-� '•�- -�+ - jA -" ems; JAr 57GWiT171�E O�AlLTl ENT IZT�LE DATE � SIGNAnJRE WpbTE / RECEMNGFACILITY WAMPPE _ RECEMNGFAC111TY r� IXFPE I © SLUDGE © SLUDGE ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL - ❑ OISaOSAL SOIL ❑ WOOD2222 SOUTH AUSTIN ROAD • ❑ DISPOSAL SOIL p❑ HOOD p CONSTRUCTIOF "11 ❑ asx ❑ CONSTRUCTION SOIL 9999 SOUTH AUSTIN ROAD ❑ OTHER - MANTECA, CALIFORNIA 95336 D OTHER sac,�? = MANTECA CALIFORNIA 95336 GENERATING FACILM (209) 982-4298 PHONE GENERA7INGFACILITY -- _ _ _ _ L= ^ J ,d_T J;L` (209) 982-4298 PHONE V - (209)982-1009 FAX ;_ A= ; -,T_ ;; (209) 982-1009 FAX NAME NOTES .� S TRUCK NUMBER NAME i4 NOTES _ _ I TRUCK NUMBER '_ - ILIO I / ADDRESS m r /- - ADDRESS I l a _ `� 3 d , li _ CITY STATE.ZIP • CITY STATE ZIP C r PHONE END DUMP BOTTOM DUMP TRANSFER PHONE END DUMP BOTTOM DUMP TRANSFER SIGNATURE OF AUTHORIZZED AGENI.OR DRIVER I DATE ROLL-OFFS) FLAT-BED VAN DRt)MS S CNiTtlRE OI-AUTHO ZFD AGENT OR DRIVER DATE ROLLOFF(S) FLAT BED VAN DRUMS ❑ ❑ ❑ i rEl El 0 FORWARD INC LANDFILL CUBIC YARDS FORWARD INC LANDFILL CUBIC YARDS /7; Forward Mall h.je ra oblipatcn to crept the waste d weather or other forward"I have no cblwtKxi to accept the waste d weather or other /Y condnI"MIOW the sate and ettectne draposaf al the waste or d tt>e waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD)artpa,rs the esle hoc ettaccrre ooeral7t of the LandEll Fxwird Ethan use conda a%mpas the sate and ewec!Ne daposal or the waste or rt the waste pISPOSAL M�TI•JOG (TO BE COMPLETED BY FOfINNRD) +mpa,rs!ne sale and etfectr a o0eratron 0l the Landfill Forward shall use raaso^attle etbrts to tris%th hon1Y pa+a'o!Its v aMlay!o accept the cl BIO AERATE STOCKPILE1 OTHER reasonable ewer,to pranotA rarity Disposer of its nsbd to ty accept the POSE BIO AERATE S[DUff1LEI rHER waste to arty other me r'Forwards ramal rd notify the waster based on ' waste lor any reasor It Forward s rviAaF to acce0l the waste a based an weather a other aae d to Chin Forward shed noway the Dbpable when arse I weather or other she rmdrhons ForwarJ shall nobly the Dmooser when alley ' t 1heda ate are e�eded to durye such that Forward rdl be ode to accept cor0lors are expected to auvV wch that Forward will be able to accept the waste . r - - -_ _ _ . _ ❑SLUDGE the waste REMARKS ❑SLUDGE - `. _•- ©NON-FRIABLE ❑NOtaFRPEU FACILITY 7[gN.ETIlUMB�R ASEW_ _ - ' - - ❑WOOD FACILITY T7CKE-NUkIB /+ ASBESTOS WOOD SIGNlAE OF }ipR�ED� �" _ SrGNA�(IRE UTHORIZE GENT DATE ❑ASH �� I S ❑ASH r~/ � ❑OTHER 1�j=am � � 1 L_�� ©OTHER SCHEDULING MUST BE MADE PRIOR x0 4,00 P,M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR TO 440 PJN THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS APE SUBJECT TO REFUSAL UPON ARRIVA>=ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE 70 SCHEDULE CALL 1202)982-4298 MANIFEST 1 56558 TO SCHEDULE CALL(2091982-4268 MANIFEST. 5 6 559